Contrast Media Use in Pediatrics: Safety Issues

Riccabona, Michael

doi:10.1007/174_2013_901

Cited by 11 publications

(5 citation statements)

References 70 publications

(72 reference statements)

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“…Particularly in infants and young children, renal biopsies can cause arteriovenous fi stulae; when performed with large core-cut needles, we found arteriovenous fi stulas in 12 % of patients (Riccabona et al 1998a ). A smaller needle size of 20-16 gauge that is usually suffi cient for nontumorous conditions helps to reduce the arteriovenous fi stula incidence; rarely, a second or third pass is needed to harvest enough material (Riccabona et al 2014 ). Proper pre-, peri-, and postinterventional imaging and management are advisable, not only to plan and monitor the procedure avoiding large vessels and a risky needle path, but also to detect potentially dangerous conditions.…”

Section: Pediatric Renal Parenchymal Diseasementioning

confidence: 91%

“…Note that, particularly in the urinary bladder, the correction factor for the commonly used ellipsoid equation may vary depending on the bladder shape. And remember that -as the fetal development is closely linked -all particularly female children with a urinary tract malformation should undergo a detailed assessment of the genital tract (Riccabona 2013a , b ;Riccabona 2014 ). -CEUS : Only two contrast agents are available in Europe and the USA, SonoVue (Bracco) and Optison (GE).…”

Section: General Remarks On the Principles Of Imaging Children And Ramentioning

confidence: 99%

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The Pediatric Kidney

Riccabona

2014

Radiological Imaging of the Kidney

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Children are not small adults. In the urinary tract, particularly, there are many conditions that are more or less specifi c to children which need early and reliable diagnosis in order to provide proper treatment to prevent renal damage and severe long-term sequelae such as hypertension or renal insuffi ciency. This is particularly important for all congenital urinary tract malformations and also for many other congenital renal conditions -these are often detected prenatally and, after birth, need prompt and reliable diagnostic workup at minimal invasiveness. Additionally, even in conditions that are the same or similar to adults, the specifi c needs and conditions in childhood require different imaging approaches and algorithms, partially because of each of the following reasons: the child's higher sensitivity to radiation, different physiology, different size and imaging appearance, as well as different potential of the various imaging techniques. These differences are outlined, focusing on some important diseases and queries such as congenital hydronephrosis and obstructive uropathy, impact of vesicoureteral refl ux on the kidney, imaging in infants with urinary tract infection, childhood urolithiasis and nephrocalcinosis, pediatric renal masses, as well as other miscellaneous renal conditions that may manifest in the child and indicate imaging. Additionally, specifi c needs for adapting and applying the various imaging techniques in childhood are discussed.

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Section: Pediatric Renal Parenchymal Diseasementioning

confidence: 91%

Section: General Remarks On the Principles Of Imaging Children And Ramentioning

confidence: 99%

The Pediatric Kidney

Riccabona

2014

Radiological Imaging of the Kidney

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“…OWSC agents are generally felt to be more useful than barium for imaging in small bowel obstructions, as they promote peristalsis and are less irritating to the peritoneum in the event of a perforation (Joyce 1992;Mercadante 2004;Riccabona 2014). The hyperosmolar nature of OWSC is thought to attract fluid from the bowel wall into the lumen, potentially assisting to resolve the obstruction by decreasing oedema in the bowel wall (Khasawneh 2013).…”

Section: How the Intervention Might Workmentioning

confidence: 99%

Oral water soluble contrast for malignant bowel obstruction

Syrmis

Richard

Jenkins-Marsh

et al. 2018

Cochrane Database of Systematic Reviews

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“…Thus, and also according to the ESUR and ESPR recommendations, it is mandatory to have a careful evaluation and thorough justification for the use of Gd in high‐risk children. Furthermore, the use of cyclic compounds and cumulative dose recording is suggested …”

Section: Imaging Techniques In Renal Transplant Follow‐upmentioning

confidence: 99%

Imaging in pediatric renal transplantation

Damasio

Müller

Piaggio

et al. 2017

Pediatric Transplantation

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Renal transplantation is the therapy of choice in children with ESKD. Radiological investigations are required in both pre- and post-transplant assessment, although there is paucity of both consensus-based statements and evidence-based imaging guidelines in pediatric renal transplantation. The phases of pediatric ESKD management that require imaging are pretransplantation recipient assessment and post-transplantation surveillance for detection of potential complications. We present suggestions for imaging algorithms for both pre- and post-transplant assessment in pediatric renal transplant recipients.

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Contrast Media Use in Pediatrics: Safety Issues

Cited by 11 publications

References 70 publications

The Pediatric Kidney

The Pediatric Kidney

Oral water soluble contrast for malignant bowel obstruction

Imaging in pediatric renal transplantation

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